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  • End-to-end pancreatojejunostomy
    • Invagination
      • One-layered
      • Two-layered
      • Triple-layered
  • End-to-side pancreatojejunostomy
    • One-layered
    • Invagination
      • One-layered
      • Two-layered
    • Duct-to-mucosa
      • One-layered
      • Two-layered
      • Triple-layered
    • Duct-invagination
    • Duct-evagination
  • Pancreatogastrostomy
    • One-layered
    • Invagination
      • One-layered
      • Two-layered
    • Transgastric
    • Duct-to-mucosa
    • Duct-to-mucosa + invagination
    • Without actual gastrotomy
    • After gastric partition
  • End-to-end pancreatojejunostomy
    • Invagination
      • One-layered
      • Two-layered
      • Triple-layered
  • End-to-side pancreatojejunostomy
    • One-layered
    • Invagination
      • One-layered
      • Two-layered
    • Duct-to-mucosa
      • One-layered
      • Two-layered
      • Triple-layered
    • Duct-invagination
    • Duct-evagination
  • Pancreatogastrostomy
    • One-layered
    • Invagination
      • One-layered
      • Two-layered
    • Transgastric
    • Duct-to-mucosa
    • Duct-to-mucosa + invagination
    • Without actual gastrotomy
    • After gastric partition

With three overlapping U-sutures

Dropstep2017-08-16T14:33:49+02:00Technique triple-layered invagination end-to-end pancreatojejunostomy|

Mucosectomy is performed on the distal 2 cm of the jejunal stump before the anastomotic procedure is started. The pancreatic capsule is anchored to the full-thickness of the jejunal wall. To do so, two sutures are applied to the superior and inferior margins of the pancreatic capsule, 1.5 cm away from the cut end of the pancreas. […]

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Binding pancreaticojejunostomy

Dropstep2020-02-16T21:31:59+01:00Technique triple-layered invagination end-to-end pancreatojejunostomy|

The jejunal stump is everted for 3 cm, by suturing the jejunal free margin loosely to a point at the jejunal loop 6 cm from the cut edge. This leaves the mucosa exposed for excising. Mucosectomy of the everted part of the jejunum is applied. The pancreatic remnant is sutured to the mucosal margin of the jejunum in a circulair fashion. […]

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